Mckenzie, Jerry Lamont

Mckenzie, Jerry Lamont is an individual health care provider with primary practice located at 845 Desco Ln , Grand Prairie TX 75051-1685. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Mckenzie, Jerry Lamont can be contacted via phone (817) 761-7876.

Contact Information

Primary practice address
845 Desco Ln Grand Prairie TX 75051-1685
Phone: (817) 761-7876
Fax: (817) 635-6362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-8969 Arkansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X R4786 Texas

Profile Details

NPI number 1053679407
LBN Legal business name Mckenzie, Jerry Lamont
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated May 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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